LOWES GUARDIAN ANGEL LLC; NPI #1942571625

Contact Information

LOWES GUARDIAN ANGEL LLC

7056 EUNICE DR.
RIVERDALE, GA 30274

Phone: 678-586-3171
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X

Indicates primary specialty

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NPI Profile & details for LOWES GUARDIAN ANGEL LLC

NPI # 1942571625

LBN Legal business name LOWES GUARDIAN ANGEL LLC

Authorized official GLENN LOWE - (DDP)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/26/2012

Last updated 01/26/2012 - About 14 years ago

Identifiers

GA	License #	251911340
GA	Other	251911340	DBHDD DEVELOPMENTAL DISABILITIES PROVIDER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LOWES GUARDIAN ANGEL LLC

Contact Information

Specialty

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

NPI Profile & details for LOWES GUARDIAN ANGEL LLC

Reviews for LOWES GUARDIAN ANGEL LLC